Evanston Insurance Co. v. Legacy of Life, Inc.
370 S.W.3d 377
Tex.2012Background
- Legacy of Life, Inc. is an organ-donation charity.
- Alvarez alleges Legacy misrepresented tissue distribution, claiming profits from selling deceased-mother tissues.
- Alvarez sues Legacy seeking damages including mental anguish and restitution, asserting no physical injury to herself or mother.
- Legacy had a combined medical professional and general liability policy with Evanston Insurance.
- Evanston denied defense, leading to a declaratory-judgment action and two certified questions from the Fifth Circuit addressing policy coverage for personal injury and property damage.
- The court resolves both questions in the negative, limiting Evanston’s duty to defend.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does personal injury coverage include mental anguish absent physical injury? | Alvarez argues mental anguish fits under personal injury. | Evanston argues bodily injury must accompany mental anguish. | No; mental anguish without physical injury is not covered. |
| Does property damage coverage include loss of use of tissues? | Alvarez asserts loss of use of tissues falls under property damage. | Evanston contends tissues are not property; or loss of use not covered. | No; tissues are not property of the next of kin or estate for purposes of coverage. |
Key Cases Cited
- Trinity Universal Ins. Co. v. Cowan, 945 S.W.2d 819 (Tex.1997) (defines bodily injury; supports limited coverage for emotional distress without physical injury)
- Merchs. Fast Motor Lines, Inc. v. Nat'l Union Fire Ins. Co., 939 S.W.2d 139 (Tex.1997) (eight corners rule; treat ambiguity in insured's favor)
- Zurich Am. Ins. Co. v. Nokia, Inc., 268 S.W.3d 487 (Tex.2008) (duty to defend analyzed via eight corners; interpretation of policy terms)
- GuideOne Elite Ins. v. Fielder Rd. Baptist Church, 197 S.W.3d 305 (Tex.2006) (ambiguous policy terms resolved in insured’s favor)
- Fiess v. State Farm Lloyds, 202 S.W.3d 744 (Tex.2006) (interpretation of defined terms; favor insured when ambiguity)
- Burnett v. Surratt, 67 S.W.2d 1042 (Tex.Civ.App.-Dallas 1934) (quasi-property rights in a dead body; burial-rights)
- Terrill v. Harbin, 376 S.W.2d 945 (Tex.Civ.App.-Eastland 1964) (right to possession of body; autopsy impacts)
- Roman v. Roman, 193 S.W.3d 40 (Tex.App.-Houst. [1st Dist.] 2006) (embryos; disposition agreements; not determinative of property status)
- Moore v. Regents of Univ. of Cal., 51 Cal.3d 120, 271 Cal. Rptr. 146, 793 P.2d 479 (Cal. 1990) (no property interest in donated tissues)
- Culpepper v. Pearl Street Bldg., Inc., 877 P.2d 877 (Colo. 1994) (tissues and bodily remains; quasi-property considerations)
